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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. HAZELTON AVE. , <br /> P O BOX 2009, STOCKTON. CA 95201 <br /> BILL FOR SERVICES RENDERED <br /> TIME MINIMUM FOR EACH INSPECTION-1 HOUR_ <br /> WILL BE COMPUTED TO NEAREST 1/2 HOUR INCLUDIINGTIONAL TRAVELITIMECTION TIME <br /> NOTE: FRIOR TO ALL INSPECTIONS, <br /> CONTRACTORS ARE REQUIRED %TO GIVE NOTICE <br /> S SPECIFIED ON THE PERMIT ALLLICATION. <br /> SITUS ADDRESS: )4a57 5. /14...-.- S-+ <br /> PERMIT # <br /> BILL TO: NAME � G(�� L�....}� < F T <br /> ADDRESS <br /> x <br /> CITY/STATE_ C A <br /> PROGRAM: <br /> DESCRIPTION OF SERVICE(S) : <br /> Fr <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS <br /> WEEKENDS/HOLIDAYS SANITARIAN <br /> SERVICE SAM-4:30PM 4:�c1PM—SAM <br /> HRS WORKED $35/HR $52. 50/HR <br /> X70/HR <br /> OTALS <br /> BALANCE DUE: <br /> 1 BILLING DATE PRE RECEIVED WITHIN <br /> AYMENT IS TO <br /> —0 DAYS FROM THE BILLING DATE. <br /> RETURN ONE COPY OF THIS RILL ALONG WITH VAYMENT, <br />�. TO: SAN JOAQUS <br /> IN LOCAL HEALTH DISTRICT. MAKE CHECKS PAYABLE <br /> 3i° <br />